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Sunscreens are useful adjuncts in preventing sun-induced recurrences Prophylactic use of oral acyclovir may prevent recurrences Acyclovir should be started at a dosage of 200 mg four times daily beginning 24 hours prior to ultraviolet light exposure, dental surgery, or orolabial cosmetic surgery Comparable doses are 500 mg twice daily for valacyclovir and 250 mg twice daily for famciclovir

Aside from the complications described above, recurrent attacks last several days, and patients recover without sequelae

The simplest branching statement is if. An if statement says, If a particular condition is true, then execute the following statement; otherwise, skip it. The condition is a Boolean expression. As you learned in s 3 and 4, a Boolean expression evaluates to either true or false, which makes it a perfect fit for the if statement. The formal description of an if statement is:

Barton SE Reducing the transmission of genital herpes BMJ 2005 Jan 22;330(7484):157 8 [PMID: 15661761] Beauman JG Genital herpes: a review Am Fam Physician 2005 Oct 15;72(8):1527 34 [PMID: 16273819] Geretti AM Genital herpes Sex Transm Infect 2006 Dec;82 Suppl 4:iv31 iv34 [PMID: 17151051] Spruance S et al Short-course therapy for recurrent genital herpes and herpes labialis J Fam Pract 2007 Jan;56(1):30 6 [PMID: 17217895]

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Three systemic agents are available for the treatment of herpes infections: acyclovir, its valine analog valacyclovir, and famciclovir All three agents are very effective and, when used properly, virtually nontoxic Only acyclovir is available for intravenous administration In the immunocompetent, with the exception of severe orolabial herpes, only genital disease is treated For first clinical episodes of herpes simplex, the dosage of acyclovir is 200 mg orally five times daily (or 800 mg three times daily); of valacyclovir, 1000 mg twice daily; and of famciclovir, 250 mg three times daily The duration of treatment is from 7 to 10 days depending on the severity of the outbreak Most cases of recurrent herpes are mild and do not require therapy In addition, pharmacotherapy of recurrent HSV is of limited benefit, with studies finding a reduction in the average outbreak by only 12 24 hours If treatment is desired, recurrent genital herpes outbreaks may be treated with 3 days of valacyclovir, 500 mg twice daily, or with 5 days of acyclovir, 200 mg five times a day; or famciclovir, 125 mg twice daily Valacyclovir, 2 g twice daily for 1 day, or penciclovir, 1 g once or twice in 1 day, can be effective for aborting recurrences of orolabial or genital herpes The addition of a potent topical corticosteroid three times daily reduces the duration, size, and pain of orolabial herpes treated with an oral antiviral agent In patients with frequent or severe recurrences, suppressive therapy is most effective in controlling disease Suppressive treatment will reduce outbreaks by 85% and reduces viral shedding by more than 90% This results in about a 50% reduced risk of transmissions The recommended suppressive doses, taken continuously, are acyclovir, 400 mg twice daily; valacyclovir, 500 mg once daily; or famciclovir, 125 250 mg twice daily Long-term suppression appears very safe, and after 5 7 years a substantial proportion of patients can discontinue treatment The use of condoms, patient education, and long-term suppressive oral antiviral therapy are all effective in reducing transmission of genital herpes However, there is nothing alone or in combination that absolutely prevents transmission.

This is the kind of description of the if statement you are likely to find in your compiler documentation. It shows you that the if statement takes an expression (a statement that returns a value) in parentheses, and executes Statement1 if the expression evaluates true. Statement1 doesn t have to be just one statement it can actually be a block of statements within braces. As long as you include the braces, the compiler treats your code as just one statement. Example 5-2 shows how this works.

HERPES ZOSTER (SHINGLES)

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